• Job Description

  Req#: R0033550

  At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

  Join HCSC and be part of a purpose-driven company that will invest in your professional development.

  Job Summary

  This position is responsible for working with members, member families and physicians on health issues including complex cases. Will assist the member and/or their family by identifying resource needs, including but not limited to financial, transportation and/or helping with locating support groups, as applicable. Evaluate the psychosocial and emotional needs of members with ongoing and/or situational medical concerns through coaching, education, and support for low acuity emotional needs. Coordinating referrals for behavioral health services when their emotional/mental health needs are more chronic in nature. Will assist the member in both inpatient or outpatient settings and will provide discharge planning assistance, as appropriate, during an inpatient stay. May travel to members home-settings to evaluate or coordinate treatment needs.

  This position is Remote / Telecommute

  • Client Facing position

  • CCM Certification preferred

  • Ability to travel, which may include overnight stays

  JOB REQUIREMENTS:

  • Master Degree in one of the following Behavioral Health areas: Social Work, Psychology, Human Services, with current unrestricted clinical license/certification in good standing in the state(s) of operation

  • 1 year of utilization management, discharge planning or managed care experience

  • Customer service oriented

  • PC proficiency to include Word, Excel, and database experience

  • Current valid drivers license and transportation

  • Verbal and written communication skills

  • Ability to remain at a work station and perform computer entry for long periods of time, as required

  • Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management

  
  PREFERRED JOB REQUIREMENTS:

  • Ability to travel, which may include overnight stays.

  • 2 years experience of direct clinical care to the consumer

  • 2 years of utilization management, discharge planning or managed care experience

  • 3 years of clinical practice experience, complex case management

  • Certified Case Management credentialing and /or ACM certification

  • Provider side insurance experience

  • Familiarity with ancillary services including Home Health Care (HHC) or Skilled Nursing Facility (SNF).

  • Strong business acumen and communication

  • Prior experience in working with Sales and Account management teams, and clinical teams.

  • Prior experience and knowledge of employer health and wellness programming and how this connects to clinical operations.

  • Previous experience in delivery of health and clinical educational content to the client/employee audience

  • Prior experience in a consulting role, working for an EAP or similar.

  • Bilingual a plus

  • Experience in Motivational Interviewing

  Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

  HCSC Employment Statement:

  We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

• About the company

  Health Care Service Corporation (HCSC) is the largest member-owned health insurance company in the United States. HCSC offers a wide variety of insurance products and related services through Blue Cross and Blue Shield® of Illinois, Blue Cross and Bl...

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